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Wyden: Obama Gave the Cause of Health Care Reform a "Big Boost Last Night"

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Sen. Ron Wyden (D-OR) tells me he thinks President Obama gave the cause of health reform "a big boost last night, but though he supports Obama's proposal, he does have a few concerns.

"I think it was very powerful and even more importantly very persuasive," Wyden told me. "Health care is such a complicated issue, and intensely personal and the way the President outlined it, it really served as a trampoline--a jump--to the next part of the debate which is on the Senate Finance Committee on which I serve."

On the specifics of the President's plan, Wyden laid out a small handful of issues he'd like to see improved. Specifically, and foremost, Wyden says, "the area that i would like to be bolder in is in this area of creating a market through choice and competition."

Wyden believes the proposal wouldn't allow nearly as many people as it should to choose to enter so-called health insurance exchanges, if they're unhappy with the insurance their employers provide.

"Only people who are unemployed and uninsured and work at very small businesses would be allowed choice and competition in the exchanges," Wyden noted "Anybody who works at a mid-size business who doesn't like what they have, a government bureaucrat steps in and says you don't have choices.

Separately, Wyden is concerned that the proposal--which Obama said would cost $900 billion--might not be able to provide generous enough subsidies for middle class uninsured people who will, under the terms of the plan, be required to buy health insurance.

"If you have a family making $65,000 a year and they're paying $8300, $8400 for their premiums and copayments and deductibles...that's going to be another area that you're going to have to hone in on," Wyden added.

But Wyden was perhaps most critical of the financing scheme--enshrined in the Baucus plan, and endorsed by Obama--to raise the funds needed to pay for the bill by taxing high-end private insurance plans. That measure sells politically--who doesn't like the idea of taxing insurance companies?--but the incidence of the tax is likely to befall insurance consumers, including middle class Americans who Obama vowed not to increase taxes on.

"This financing system is not my first choice," Wyden said. "We're going to be working in the finance committee to address the concerns you describe."

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September 10, 2009 4:47 PM   

Preach!!! Preach it!!!!!

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September 10, 2009 5:31 PM   

I very much like Wyden. He's one of the few people who actually understands the provisions in the bill, and how they interact with each other.

And at least there is one progressive who is more concerned about what percentage of a person's income is spent on health care vs. who does the paperwork.

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September 10, 2009 5:42 PM   

If we don't get a public option, then it's a damn shame we're not getting Wyden-Bennett.

I hope his option works.

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September 10, 2009 7:32 PM   

Go Wyden! I am proud to be an Oregonian who voted for Ron Wyden. We need more voices like his in the conversation.

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September 10, 2009 7:54 PM   

Well, Wyden has his own agenda here, doesn't he? That might have been worth mentioning.

As a supporter of single-payer I certainly don't think his "Healthy Americans Act" is the way forward. For-profit insurers are still central to his proposal (the health benefits system for federal employees, SCHIP, and Medicaid would all eventually be brought to an end under Wyden-Bennett, incidentally), and therefore it does nothing to solve the core problem--i.e. insurance companies are out to make money which means denying people care whenever possible to increase their profit margins.

Current or past sponsors of the bill include such luminaries as Norm Coleman, Chuck Grassley, Mary Landrieu, Trent Lott, and Joe Lieberman. Wyden himself is among the top 10% of folks in Congress in terms of contributions from the health care industry. So I don't think he's our (as in progressives/leftists) guy on this issue, or that this bill is something to get excited about.

Brian really should have mentioned that Wyden has his own bill and is one of the most vocal (and, one must admit, knowledgeable) persons in Congress on health care. That context is kinda important, as is the fact that his bill has not really been seriously considered and that probably does not make him happy.

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September 10, 2009 9:27 PM   

I agree that taxing high-end insurance plans could be troubling, if it somehow results in price shifting that affects the middle class.
Easier solution: Tax the wealthy. They got almost a decade of benefits of the Bush Tax Cuts, now they can contribute back to the country that allowed them to gain their wealth.

While I'm at it, we need more tax brackets. It tops out way to low. Set a bracket at about $250,000 -300,000. Then anything over that, tax higher, up to about $1,000,000. Then bump it up again to about 5,000,000, and repeat. Then, anything above about $20,000,000, may it a BIG tax. Even if you tax the highest amount at 70%, the person able to earn $100 million a year will still keep about $27 million of the $80 million in that top bracket. Should be enough for them to live on, if they are frugal, and blow out the candles when they walk out of the room.

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September 11, 2009 12:44 AM   

Bud's spouse here- I work daily with people hoping to have a kidney transplant, both those with private insurance as the primary payer, and those with Medicare primary. Medicare beneficiaries are absolutely overwhelmed by the choices they must make - there are 48 different stand-alone drug plans for sale to beneficiaries who choose to remain in Original Medicare in my zip code, and 64 Medicare Advantage plans. I support Ron Wyden but this is the "market (created through) choice and competition" he's referring to and I can attest that it serves NO ONE but the companies in the game. The majority of Medicare beneficiaries choose a plan at the time of initial enrollment and never look into it again, renewing with the same company year after year regardless of increases in premiums or decreases in benefits. Why? Because it's TOO MUCH INFORMATION and too difficult to delve deep enough into the devilish details to know whether one company's plans are significantly different than another. AND they are largely guided by the marketing they receive from the plans because there is not enough help available to them to sort out facts from hype. The private market is just as opaque - most privately insured people, whether through individual policies or employer group health plans - don't know what coverage they have - or don't have - until they get sick and need to go beyond routine office visits and preventative care, at which point they are locked in.

In short, we need a limited market with limited choices that give people a very clear idea of what they are buying and what their out of pocket costs will be beyond their monthly premium. Lisa Morrison

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September 11, 2009 8:22 PM   

I support the Wyden bill. Why isn't Obama or anyone else seriously talking about this? Why is Obama playing it safe and not really trying to transform health care?

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